0000950170-24-018909.txt : 20240222 0000950170-24-018909.hdr.sgml : 20240222 20240222170723 ACCESSION NUMBER: 0000950170-24-018909 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240220 FILED AS OF DATE: 20240222 DATE AS OF CHANGE: 20240222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gotlib Phyllis CENTRAL INDEX KEY: 0001824038 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39515 FILM NUMBER: 24665976 MAIL ADDRESS: STREET 1: AMERICAN WELL CORPORATION STREET 2: 75 STATE STREET, 26TH FLOOR CITY: BOSTON STATE: MA ZIP: 02109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: American Well Corp CENTRAL INDEX KEY: 0001393584 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 BUSINESS PHONE: 617-205-3500 MAIL ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 4 1 ownership.xml 4 X0508 4 2024-02-20 0001393584 American Well Corp AMWL 0001824038 Gotlib Phyllis C/O AMERICAN WELL CORPORATION 75 STATE STREET, 26TH FLOOR BOSTON MA 02109 false true false false President, International false Class A Common Stock 2024-02-20 4 A false 2171646 0.00 A 2774550 D Class A Common Stock 1285011 I By Husband Represents a grant of restricted stock units, with 25% of the RSUs shall vest two (2) days after the date of grant. The remaining RSUs shall vest in equal increments every three (3) months thereafter (beginning on the first calendar day of the month following the date that is three months following the date of grant) for three (3) years, until such RSU is vested in full on the first day of the calendar month following the three (3) year anniversary of the date of grant. /s/ Bradford Gay as attorney-in-fact for Phyllis Gotlib 2024-02-22